The URL can be used to link to this page

072922 Form 460 Hertz 2020Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE from 2/1/2022 6/30/2022 Type of Recipient GOmmritee: All CpmmlMaa—Compete pada 1,; a, ane 4. mAiceholdeDCandidate Controlled Committee ❑ Primarily Formed Ballot Measure 8 State Candidate Election Commiteegqommittee O Recall l,) Controlled f/be carpgep,rty UUU Sponsored µ4o Com peo ❑ enaal Purpose Committee Small ❑ Primarily ee ate) Betel Contributor Dammlttee Contributor erCommittormed Committee political PartylCemral Committee f4woeholder W.oc..,waAwR 3. Committee Information Anne Hertz for Cypress City Council 2020 STREETADDRESS INC P.O. BOX) CITY STATE 21PCOOE AREACODEIPHONE Cypress CA 90630 MAILING ADDRESS IIF DIFFERENT) NO. ANDSTREET OR PO. BOX GITY STATE ZIPLODE AR AOODEIPHONE OFmOINAL FAXIE AILA DR SS (Month, Day, 11/3/2020 ❑ Preelection Statement m Semiannual Statement ❑ Termination Statement (Also Ale a Form 410 Termination) ❑ Amendment(Explain below) Treasurers) Jesus Mallari JUL 2 9 M2 pr� I of12 Quarterly Statement Special Odd -Year Report MAILINOADDREee CITY STATE 21PCODE EACODEIPHONE Cypress CA 90630 — NAME OF ASSISTANT TREASURER, IF ANY UTI I O D SS CITY SITE ZROODE AREACODEIPHONE 1 have used all reasonable dilgence in preparing and reviewing this statement and to the beat of my knowledge the information contained herein and In to aft"I ed schedules is true and complete codify under penalty of perjury under the bvs of the State of California that the foregoing IS hue anommommusimm FPPC Form 460 (Jan/2026)) Fil Advice: advice@fppc.ca.Aov (866/215-3112) www.fppu®.gov 7/29/2022 Executed on BY I--- Dnen.uwrer 7/29/2022 Executed on BY DoW Td o m na oe o .,, .n , .. Raii Pmparamo.. Executed on By Do' qi orcontrAirt "holder. ca"Adia41e 1Mewe propiximix EXF<Md an BY b re orcorvoling orl"hoidar. cardi Stale wasurs pmporwm FPPC Form 460 (Jan/2026)) Fil Advice: advice@fppc.ca.Aov (866/215-3112) www.fppu®.gov Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE -PART 2 page 3 a 12 5. Officeholder or Candidate Controlled Committee S. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Anne Hertz OFFICE SOUGHT OR HELD (INOLUDIi LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cress City Council RESDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Cypress CA 90630 Related Committees Not Included in this Statemem: Listanycommdmes not Included In this statement Mae am conboBed by you or two primadly, formed to monewe contributions or make expendrNree on behalf of your camWMcy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODETHONE COMMITTEE NAME I.D. NUMBER NAMEOFTREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS(NO P.O. BOX) NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0,SUPPORT ❑ OPP08E Identify the controlling oltesholder, candidaes, or Mmes maxum Proponent m troy. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHTOR HELD D18TRICTNO. IFANY 7. Primarily Formed Candidate/OfflceholdeP Committee List names of mrscehoJJer(a) or canadWe(a) for which this committee Is pdmwW formed. NAM E OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAMEOF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAMEOF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREACODHPHONE Attach continuation sheers if necessary FPPC Form 460 (Jan/20161 FPPC Advice: advice@Fppc.®.Iroa (866/275-17721 viww,rIlK.ca.zov Campaign Disclosure Statement Summary Page Amounts may be rounded ro whole dollars. PAGE Statement covers period e ageds • I born 2/1,/2022 • . through 030120221age 3 _ of 12 ID. NUMBER Anne Herts u for Cypress City Council 2020 1432333 Contributions Received ColumnA Column B_ I Calendar Year Summary for Candidarws DATE 1. Monetary Contribution................................................... scheaue A. uses $ 0 $ I 2. Loans Received................................................................ srnwwe B, Laws 7. Loans Made..... ............... .......... ......................................... 00 _ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. AmLhu 1+2 3 0 $ 0 4. Nonmonalery Contribution........ ........ .............. ......... .... schedule C, J60 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ....... ......... .... ............ AmLrros s+ a $ 0 $ 0 Expenditures Made 6. Payments Made......................... ..................................... .. saredmeE, Une4 S -- $ 0 7. Loans Made..... ............... .......... ......................................... S<heaea H Lme3 _ S. SUBTOTAL CASH PAYMENTS ...................................... AmUme a+7 $ 0 $ 0 S. Accrued Expenses (Unpaid Bdls).......... ......................... ,... ... scneawe R Law 3 0 0 10. NonmonetaryAdjustmenl........................................................ sahewe C, Lore s 0 11. TOTAL EXPENDITURES MADE .................................... aadUNa;8+9410 $ 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ............................ PwvarusummanPsge. Use le $ 4958 73. Cash Receipts........................................................... CdumnA useeow 0 To calculate Column B,m add amounts In Column 14. Miscellaneous Increases to Cast) ............. �._................. sdrexise 1. Une4 0 Ate the ocneaponding amounts from Columna 1S. Cash Payments ............ ............................. ................ Column A, Line Saban 0 ofyourlastrepoR Same 16. ENDING CASH BALANCE ......_.......... Addun.. re*fs+ta. men muncutiw l3 $ 4955 amounts In Column A may be negative figures that It this is a fertnin&ion atefemeM, Line 16 moat be Cera, should be subtracted from Previous period amounts. If this Is the Bast report being 17. LOAN GUARANTEES RECEIVED ................................ schedule e, POO2 3 0 flied for this calendar year, only carry over the amounts tram Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 16. Cash Equivalents.. q ............................................... see imnualanaw mwrse $ 0 any). 19. Outstanding Debts .............................. AdlLlne 24ule gin commea above S 0 Running In Both the State Primary and General Elections 1tl through We Al to Dols 20. Contributions Received $ 0 $ 0 21. Expenditures Made $ 0 $ 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Ia Sulue tb voluntary Eswswure lanai Date of Election Total to Date (mmlddgry( $_ Jam_ $ ('Amounts In the section may be dl8erent from amsuma reported In Column B. FPPC Feym 46D lran/2016)) FPPC Advice: advice@fppc.".gov (866/275.37/2) www.fpps.o.gov Schedule A Monetary Contributions Received Amounts may be rounded SCHEDULE A To whpLaollars. BNh(mant eawra perbtl Schedule A Summary 'I. Amount received this Period— itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ Total monetary Contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Pape, Column A, Line 1.)......................TOTAL $ "Contributor Cotler IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH—other (e.g., business entity) PTY — Political Pally SCC—small Contributor Committee FPPC Form 466 (lan/2016)) FPPCAdvise: advicsVppcCa.gov(666/2]5-3]R) www.fpp0.Ca.gov 2/ from 1/2022 a _ REE INSTRUCTIONS ON REVERSE through 6/30/2022 Pag14 or 12 NAME OF FILER Anne Hertz for Cypress City Council 2020 LD. NUMBER 1432333 DATE FULL NAME, STRIEETADORESS AND ZIP CODE OF CONTRIBUTOR IFPN INDIVIDUAL, EWER AMOUNT CUMUL4TNE TO GATE PER ELECTION RECEIVED CONTRIBUTOR CODE • OCCUPATION AND EMPLOYER RECEIVEDTHIS OALENDARYEAR TO DATE {IF COMMR fEEALBO ENTER I.D. MUM OEM (IF 5ELFEPGLOYED, ENTER NAME PERIOD (JAN.1-OEC.31) (IF REQUIRED) ❑IND ❑COM O DTH O PTY O BCC ❑ IND ❑COM [10TH O PTY OECD O IND OCOM O OTH O PTY ❑ BCC i] IND ❑ COM ❑ 0TH O PTV O SCC O IND OCOM GOTH O PTV SLC S BTOTAL$ Schedule A Summary 'I. Amount received this Period— itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ Total monetary Contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Pape, Column A, Line 1.)......................TOTAL $ "Contributor Cotler IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH—other (e.g., business entity) PTY — Political Pally SCC—small Contributor Committee FPPC Form 466 (lan/2016)) FPPCAdvise: advicsVppcCa.gov(666/2]5-3]R) www.fpp0.Ca.gov s�Hedr.le to _ taft . H Amounts may be rounded SCHEDULE B - PART 1 '—I KAIL Ito whole dollars. Statement covers perio70RIOINAL Received tLoans from 7/1/2021ABEE INSTRUCTIONS ON REVERSE through 1/31/2022f 12NAME OF FILERAnne Hertz for Cypress City Council 2020 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDNIDUAL, ENTER AND EMPLOYER OUTSTANDING AMOUNT AMOUNTPAID OUTETANOING INTE 9OCCUPATION CUMUL4TNEOFLENDER ALSO ENTER I.D. NUmeem 1¢SELFSMPIAvm.ENTEN BALANCE eEGINNINGTHIS RECEIVEDTHIS PERIOD OR FORGIVEN THIS PERIOD, BALANCEAT CLOSE OF THIS PAIDTONTRIBUTIONS(IFOOMMrrtEq PERITO NAMECIDUSINESS) PERIOD PERIOD DATE feaM9 tv1= Co-owner, AU Technology ®MIOEAP Laboratories, Inc. 8 0 84,:172 0 % e 4,572 f ¢572 ❑ FORGIVEN Cypress, CA 90630 PUTS PER ELECTOIf' f 4572 8 0 8 0 9/6/20 8 t ®IND ❑COM MOTH ❑PTV ❑ bCC 8 _ DATE INCURRED DATE DYE '[TP—AID—CqTNWXWMV Anne Hertz President Boys &Girls $ 0 812,000 0 12,000 12,000 Club of Greater Anaheim RAE f a Cypress, CA 90630 and Cypress CI PogorvEN PER ELecnoN" 12,000 f f 0 12/17/20 Im No [I CCM ❑DTH ❑PTY [-I IMC r 8 f DATE DUE DATEINCURMD C PAIL CALENDARYEAR E. f CI FORONEN RA PER ELECTOR' t❑ IND DOOM ❑ 0TH ❑PTY ❑ BCL i f f a-- DATE INCURRED f DATE WE SUBTOTALS S 0 $ O $ 16,572 S O 7777 Schedule B !Summary 1. Loans received this period .......................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this pericd............................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third parry that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1,) ............................. Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A, "`Ifrequired. OCRTRIF r•, ORaveaun c cnam $ 0 tContributor Codes IND — Indbidual COM —Recipient Committee (other then PTV or SCC) NET $ 0 OTH— Other (e.g., business entity) PTY— Political Party SCC—Small Contributor Committee (may S, a nmieNT mmbep FPPC Farm 460 pan/IDB6N FPPC Advice: adWoErtrfppaoa.gov(e66/275-3i www.fppeci Schedule C Amounts may be rounded In whole dollars SCHEDULE C Wonmonetary Contributions Received Bare"rwii 074Paulaa from 211(2022 SEE INSTRUCTIONS ON REVERSE through 6/30/2022 Piap 6 _ of 12 rFLr I.O. NUMBER Anne Hertz for Cypress City Council 2020 1432333 DATE FULL COD OFCO TRIBUTE AND LIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED NFCOMNILtF£,PLBO F.NTEq IA�NNMBER CODE IIF SEW INPI-VAE). NAMEOOUSINEENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDARYEAR31) TO DATE REQUIRED) IIF REpVIREDI NgNEOF0U31NCd01 (JAN 1 -DEC 311 ® IND ❑COM DOTH [I PITY ❑SCC ® IND ❑COM ❑ OTH ❑ PTV ❑SCC ❑IND ❑COM D 0TH D PTV -T D SCC D IND ❑COM DOTH D PTV ❑SCC Attach additional Inlbrmatton on appmpdatefy fabeted continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period —itemized nonmonetary contributions. (Include all Schedule C subtotals.).................................................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 8. Total nonmonetary Contributions received this pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 'Contributor Codes IND—IrMlvidual COM —Recipient Committee (other than PTV or SCC) 0TH— Other (e.g., business entry) PTV — Political Parry SCC—Sinal Contributor Committee FPPC Form 466 (1an/2016)) FPPC AdMw: adOce@fppaca, gov (666/2]5-3]22) www,fppQ".gov Schedule D Anur:ni R c n ury WE �AVWIIUIlwes Amounm may De lounaeo sb mentobmentmwn period Supporting'Opposing Other towM1o1edo0ars. e , 112022 Candidates, Measures and Committees from through 6/30/2022 7 12 SEE INSTRUCTIONS ON REVERSE PageM NAME OF FILER I.D. NUMBER Anne Hertz for Cypress City Coumil 2020 1432333 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION gMOUNTTHIb CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT CALENDAR YEAR TO DATE OR COMMITTEE pEREOUIRIO PERIOD (IFREDNRED) Monetary ContrlbadDO ❑ Nonmonetary Contribution ❑ Independent Su000rt fl O000sa' Expendfture ❑ Monetary Contribution ❑ Nonmonetary Contributon ❑ Independent u 0 oseExpenditure Monetary Contribution [] Nonmonetary Contrlbubon [] Independent ❑ Support I] Oppose ExpendBure SUBTOTAL It Schedule D Summary 1. Itemized Contributions and independent expenditures made this period. (Include all Schedule D subtotals.). ...................................................... $ 0 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0 3. Total Contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ 0 FPPC Form aso pan/21Dis)) FPPC Advice: advice0ftipmEx Iron (866/27&3773) www.(Ppc.n.gm Schedule Amounts may be rourded Int covers perbtl to whole dollies. Payments Made xenon from ' Anne Hertz for Cypress City Coal 2020 through 6/30/2022 Pepe 8 _ 12 1432333 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. GMP campaign parapharnaliamiac. MBR member communications RAD radio ailfime and production nest; CNS campaign consultants MTO meetings and appearances RFD returned contributions CTS conlrlbutlon(explain nonmorretaryr- OFC office expense SAL campaign workera' salaries CVC civic donations PET petition simulating TFL. tv. or cable aldlme and Produdbn cost FIL candidate filingltrelbt fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL palling and survey research TRS stafispouse travel, lodging, and meals IND Independent expenditure supportinglopposing others(explaln)• POS postage, delivery and messenger services TSF transfer between committees ofthe same cand'dabosponor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology coafe(Internet, a -mail) NAME AND ADDRESS OF PAYEE IIFCCMMITTEE. A Leo 0,709 1, a NUMeEm CODE OR DESCRIPTION OF PAY MENT AMOUNT PAID Payment that are contribution or Independent expenditures mutt also be sum merire i on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotels.)............................................................................................................. $ 2. Unitemized payments made this paned of under $100.......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Psge, Column A, Line 6.) ........................... TOTAL $ FPPC Form 460 Pan/2016)) FPPC Addce: advlcelPfppc.ca8ov (866/2]5-3T121 wvxw.fpiec.a v SCHEDULEF Schedule Accrued Expenses (Unpaid Bills) INSTRUCTIONS ON REVERSE Amounts may be rounded baAole rollers. IINCURRED 6hhmentcowra period /am 2/1/2022 , • , through 6/30/2022 129EE Page M_NAME OF FILER NAME AND ADDRESS OF CR EDITOR CODEOR OUTSTANDING 1.0. NU!!_F Anne HEM for Cypress City Council 2020 OUTSTANDING nF CO NT70E AM EWER r D. NUMBER) DESCRIPTION OF PAYMENT 1432333 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pamphernallatmise. MBR member communications RAD radio airtime and production costs CNIS campaign consultants MTG meetings and appearahoes RFD returned contributions CTB contribution(explain mmmone+ary)• DEC once expenses SAL campaign workers'salaries CVC civicdonations PET pe5tion circulating TEL t.v. or cable airtime and production cash FIL candidate filtrglbaibt fees PHO phone banks TRC camlidate travel, lodging, and meals END fundraising evaMs POL polling and survey research TRIS def/spouse twat, ledging, and meati IND Independent expenditure supportinglopposing others(explalnp POB postage, defNery and messenger services TSF transfer betvreen committees of the same candldamisponaer LEO legaldefense PRO professional services (legal, accounting) VOT voter raglstratlon LIT campaign literature and mailings PRT print ads WEB information technology costs(internet, e-mail) " Payments Met are contributions or independent wroendturas mutalep de SUBTOTALS $ 0 $ $ 0 S aumm arzed on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total undemized accrued expenses under $100.)............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unhemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 3. Net change this period.(Subtract Line 2 from Line 1. Enter the difference here and Pageon the Summary , Column A, Line 9J ................... .............. ........... .... .... ................ ........ ........ ........ .... .... ............ ........................... ........ NET $ — a May be a remove nu,Mer FPPC Form 460 iJan/2016)) FPPC Ad vine: advice@fppc.ca.gov(865/275-3772) www.fPPc.m.gov (a)of IINCURRED to) lel NAME AND ADDRESS OF CR EDITOR CODEOR OUTSTANDING AMOUNT IN AMOUNT PAID OUTSTANDING nF CO NT70E AM EWER r D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD SALANCEATCLOSE OF THIS PERIOD ALSO REPORT ON OF THIS PERIOD " Payments Met are contributions or independent wroendturas mutalep de SUBTOTALS $ 0 $ $ 0 S aumm arzed on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total undemized accrued expenses under $100.)............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unhemized payments on accrued expenses under $100.) .................................. PAID TOTALS $ 3. Net change this period.(Subtract Line 2 from Line 1. Enter the difference here and Pageon the Summary , Column A, Line 9J ................... .............. ........... .... .... ................ ........ ........ ........ .... .... ............ ........................... ........ NET $ — a May be a remove nu,Mer FPPC Form 460 iJan/2016)) FPPC Ad vine: advice@fppc.ca.gov(865/275-3772) www.fPPc.m.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded emamsm covers perroa to whole dollars. from 2/1/2022 through 6/30/2022 _ I Page " _ of 12 W NAME OF FILER I,D. NUMBER Anne Hertz for Cypress City Councd 2020 1432333 IJAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaltlmisc MBR member communications RAD read shims and produdlon coat CNG campaign consugants MTG mwtinge and appearances RFD returnedcontritotions CTB wnVibuton(explaim mrimenetery)' OFC office expenses GAL campaign workers salaries CVC club donations PET petidon circulating TEL tV. of moble snime and production cost FIL candidate filinyballot fees PHO phone banks TRC cardimm travel, lodging, and meals FND fundroting events POL polling and survey research TRS etafflapouse travel, lodging, and meals IND independent expenditure supporting/opposing Others(explilnl' POS postage. delivery and messenger services TSF transfer between committees ofthe same czndicatemponaer LEG legaldehmse PRO professional services (legal socounfingj VOT voter registration LIT campagn literature and mail" PRT print ads WEB information technology cost (summer email) e Payment that are contributions or independent expenditures must also be summarized on Schedule D. NAME ANDADDRESS OF PAYEE OR CREDITOR FOOPHITTEEALao ENTER no. NUMBER) I CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Attach additional information on appropriately labeled continuation sheets. TOTAV E 0 independent Contractor as reported on arm the Gummay Paga. Thle fNel mey no! equal the amount paitl to fM epmf ar Schedule E FPPC Form460 27/20161) -yp FPPC Advice: advice@tPPc.o.Bov (866//2]63]]2) www.Fppe. as" SCHEDULER H Amounts rney be rounded pedotl7AMOUNTOFLOANS LoansSchedule whole dollars.Loans Made to Others* �ebmsatc2vara frDm x/vzoxz•SEE 'to INSTRUCTIONS ON REVERSE through 6/30/2022NAMEOFFILER Anne Hertz for Cypress City Council 2020 FULL NAME, STREETADDRESSAND ZIP CODE IRAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOY E0. jai OVTSTANOINO IN AMOUNT o REPAYMENTOR OUTSTtarOF LATIVEBALANCE RECIPIENT cpumnieEgLeO EUTEa Lp wuuBEm BEGINNINGTHIB LOANEDTHIS FORONENESb BALANCEAT INTERESTIafl CLOSEOFTHIS RECENEOPPRInn N&RF AMENFLOYED.Ewrea MHEOFaVSIwE96) PERIOD THIS PERIOD' DATE ❑ PAID CAIENDAR YEAR i % $ ❑FORGIVEN RATE PER ELECTIori 4 3 a DATE DUE DATEINCURREO ❑ MID CALENDAR YEAR $ 9 N 9 g ❑FORGIVEN RATE PER ELECTIONR pRTE DUE pgTE INCURRED *Loans that are contributions b another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ gawr(Nan S0Va"e.l.uM3) Schedule H .Summary 1. Loans made this period ....................................................................................................................................................$ 0 (Total Column (b) plus unitemized loans of less than $100.) 0 *`If Required 2. Payments received on loans............................................................................................................................................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1,)...................................................................4.......4........6....... NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) Im.y H:a'w.twwmu.n FPPC Form 460 ()an/2016() FPPC Advice: advice@fppc.ca.ilov (866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCMEOULEI Miscellaneous Increasers to Cash towhobdcRars. SEE INSTRUCTIONS ON REVERSE from 2/112022 through 6/30/2022 Statement covers Perbc71NCR�t NAME OF FILER Anne Hertz for Cypress City Council 2020 DATE RECENED FULL NAME ANDADDRESS OF so URGE IIFCCAMITTE2,M-WENTER Ln NUaEEm DESCRIPTION OF RECEIPT Attach additional information on appropriatelyfabeerd continuation sheets. SUBTOTAL $ o 1. Itemized increases to cash this period. 2. Unitemized increases to cash of under $100 this period. ..................................................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ..... .......... I .....................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0 SummaryPage, Line 14.)............................................................................................................................. TOTAL E FPP[ Form 460 (Ian/2016)) FPPC Advice: advice@fppcea.gov ta66/2753772) www.fPPCca.aav